| Oca Stillwater Lp | |
|
275 S Perkins Rd Stillwater OK 74074-3665 | |
| (405) 334-5272 | |
| Not Available |
| Full Name | Oca Stillwater Lp |
|---|---|
| Speciality | Family Medicine |
| Location | 275 S Perkins Rd, Stillwater, Oklahoma |
| Authorized Official Name and Position | Bruce Cornett (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4053345272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oca Stillwater Lp 275 S. Perkins Stillwater OK 74074-3665 Ph: (405) 334-5272 | Oca Stillwater Lp 275 S Perkins Rd Stillwater OK 74074-3665 Ph: (405) 334-5272 |
| NPI Number | 1003149139 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003149139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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